KRISTA JACKSON LCPC NPI 1265813596

NPI Information

NPI: 1265813596
Provider Name: KRISTA JACKSON, LCPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
111 BARCLAY BLVD STE 180
LINCOLNSHIRE, IL
ZIP 60069
Phone: (847) 748-2019
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Krista Jackson, LCPC is a professional counselor in Lincolnshire, IL. Krista Jackson, LCPC NPI is 1265813596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 BARCLAY BLVD STE 180
LINCOLNSHIRE, IL
ZIP 60069-615
Phone: (847) 748-2019
Fax: (847) 748-2019

The enumeration date for this NPI number is 6/11/2015 and was last updated on 12/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180003226	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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